Jodi M Deckard in Minneapolis - Nurse Practitioner

Jodi M Deckard - NPI 1871698373

Jodi M Deckard is a Nurse Practitioner in Minneapolis, Minnesota. Jodi M Deckard practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jodi M Deckard is 1871698373. The last update date is 2009-01-20.

Jodi M Deckard's current location address is 333 Washington Ave N Ste 5000, Minneapolis, Minnesota. You can contact this provider via phone number 6126597111 and fax number 6126597101. The mailing address for Jodi M Deckard is 333 Washington Ave N Ste 5000, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jodi M Deckard
Address 333 Washington Ave N Ste 5000, Minneapolis, Minnesota
Phone Number 6126597111
Fax Number 6126597101
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1871698373
Provider Enumeration Date 2006-09-13
Last Updated Date 2009-01-20

Provider Mailing Address Detail

Address 333 Washington Ave N Ste 5000
City Minneapolis
State Minnesota (MN)
Post Code 554011331
Phone Number 6126597111
Fax Number 6126597101

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R174883
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
374582 IN BCBS - MARY STREET
200802970 IN --
78015609 KY --
381104 IN BCBS - GATEWAY

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FAQs about Jodi M Deckard

What is the unique identifier code issued to Jodi M Deckard by the Centers for Medicare & Medicaid Services (CMS)?

The Jodi M Deckard has been assigned the NPI (National Provider Identifier) 1871698373. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Jodi M Deckard is physically located?

The Jodi M Deckard is situated at the following address: 333 Washington Ave N Ste 5000, Minneapolis, MN 554011331.

What is Jodi M Deckard's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jodi M Deckard's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.

When was the Jodi M Deckard's 1871698373 issued?

The Jodi M Deckard's 1871698373 was issued on 2006-09-13.

When was the information regarding Jodi M Deckard, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jodi M Deckard, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-01-20.

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